HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc.

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers AGGREGATED PURCHASING OF HEALTH CARE SERVICES: LESSONS CPR's report is an examination of 30 years of employers' efforts at aggregated purchasing of health care services.

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health care system. Our diverse membership attracts both private and public STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional HOW SIDEWALKS CAN AFFECT YOUR HEALTH CARE COSTS Our neighborhoods, houses, schools, jobs, income, social lives, modes of transportation, and even our broader built and natural environments. Once these were not considered factors affecting health, but they are now the focal points of a fast-growing field referred to as social determinants of health, or SDOH. To begin to move beyond the

idea that

REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR BUNDLED PAYMENT MARKETPLACE REPORT Download the free report to understand how bundled payment solutions - including health plans, Centers of Excellence vendors, and others - are striving to meet the needs of employer-purchasers. CPR summarizes key findings and recommendations from: CPR’s 12-month Advancing Effective Bundled Payment employer workgroup. AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc.

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers AGGREGATED PURCHASING OF HEALTH CARE SERVICES: LESSONS CPR's report is an examination of 30 years of employers' efforts at aggregated purchasing of health care services.

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health care system. Our diverse membership attracts both private and public STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional HOW SIDEWALKS CAN AFFECT YOUR HEALTH CARE COSTS Our neighborhoods, houses, schools, jobs, income, social lives, modes of transportation, and even our broader built and natural environments. Once these were not considered factors affecting health, but they are now the focal points of a fast-growing field referred to as social determinants of health, or SDOH. To begin to move beyond the

idea that

REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR BUNDLED PAYMENT MARKETPLACE REPORT Download the free report to understand how bundled payment solutions - including health plans, Centers of Excellence vendors, and others - are striving to meet the needs of employer-purchasers. CPR summarizes key findings and recommendations from: CPR’s 12-month Advancing Effective Bundled Payment employer workgroup. AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

JOIN OUR VENDOR DIRECTORY Thank you for your interest in connecting with Catalyst for Payment Reform! Please fill out the form below so we can learn more about your

organization.

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health care system. Our diverse membership attracts both private and public PRESS RELEASE: PAYMENT REFORM HAS GROWN SIGNIFICANTLY Report offers recommendations for employers and other health care purchasers on payment reform and benefit design specific to the Denver

area.

WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising. AGGREGATED HEALTH CARE PURCHASING: MODELS FOR SUCCESS Thursday, May 20 from 1pm-3pm EDT/ 10am-12pm PDT Frustrated by the continued erosion of health care affordability, some purchasers have taken matters into their own hands by pooling their volume of covered lives with other health care purchasers. There is a three decades-long history of purchasers banding together to aggregate their member

volume to achieve

MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their REFERENCE-BASED PRICING: EVALUATION SUMMARY SCORECARDS CPR evaluated eight reference-based pricing (RBP) vendors and one RBP TPA to understand each vendor’s performance against specified attributes. With insights from CPR’s member organizations, supplemented with the expertise of consultants and other industry professionals, CPR developed a set of attributes and specifications for RBP vendors, codified through a set of request for information MAKING THE CASE FOR COST-EFFECTIVE NETWORKS: 32BJ HEALTH This case study describes how a large health system in New York City objected to the 32BJ Health Fund’s efforts to implement a benefit design that had higher co-pays for higher-cost hospitals and lower co-pays for lower-cost hospitals. Instead of backing down, the Health Fund went to the public and to the media to achieve its goal of BUNDLED PAYMENT MARKETPLACE REPORT Download the free report to understand how bundled payment solutions - including health plans, Centers of Excellence vendors, and others - are striving to meet the needs of employer-purchasers. CPR summarizes key findings and recommendations from: CPR’s 12-month Advancing Effective Bundled Payment employer workgroup. LISA WOODS ON WALMART'S CENTER OF EXCELLENCE STRATEGY Lisa Woods on Walmart’s Center of Excellence strategy February 04, 2019. Suzanne Delbanco calls up Lisa Woods, Senior Director of Health Care Benefits at Walmart Stores, Inc., to discuss Walmart’s efforts to control costs and deliver high-value health care using a Center of Excellence approach. Suzanne and Lisa catch up about Walmart’s CoE strategy for spinal surgery, why Walmart HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS WELCOME TO CPR! Find out how you can achieve higher-value health care. If you are an employer or other purchaser of health care, you can be a

catalyst.

RESOURCE LIBRARY

Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or MAKING THE CASE FOR COST-EFFECTIVE NETWORKS: 32BJ HEALTH Find out how 32BJ Health Fund publicized hospital prices across New York City to achieve its goal of implementing a cost-effective network. In a world where hospital prices are not transparent and vary widely, health care purchasers need first to analyze price and quality variation and then build a benefit design and health care purchasing strategy tailored to their market. WANT TO IMPROVE MATERNITY CARE? EMBRACE HEALTH EQUITY Want to improve maternity care? Embrace health equity April 28, 2020. Mother’s Day is around the corner, and one of the greatest gifts the

United States

MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value

health care.

BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

ENCOURAGING CONSUMERISM & PRIMARY CARE: FEDEX CORPORATION For distribution, contact info@catalyze.org Available for download at catalyze.org 6 The call center: The communications consultant also staffed a centralized call center to answer questions from employees and their families about the new plans. WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITAL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

LISA WOODS ON WALMART'S CENTER OF EXCELLENCE STRATEGY Lisa Woods on Walmart’s Center of Excellence strategy February 04, 2019. Suzanne Delbanco calls up Lisa Woods, Senior Director of Health Care Benefits at Walmart Stores, Inc., to discuss Walmart’s efforts to control costs and deliver high-value health care using a Center of Excellence approach. Suzanne and Lisa catch up about Walmart’s CoE strategy for spinal surgery, why Walmart HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS WELCOME TO CPR! Find out how you can achieve higher-value health care. If you are an employer or other purchaser of health care, you can be a

catalyst.

RESOURCE LIBRARY

Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or MAKING THE CASE FOR COST-EFFECTIVE NETWORKS: 32BJ HEALTH Find out how 32BJ Health Fund publicized hospital prices across New York City to achieve its goal of implementing a cost-effective network. In a world where hospital prices are not transparent and vary widely, health care purchasers need first to analyze price and quality variation and then build a benefit design and health care purchasing strategy tailored to their market. WANT TO IMPROVE MATERNITY CARE? EMBRACE HEALTH EQUITY Want to improve maternity care? Embrace health equity April 28, 2020. Mother’s Day is around the corner, and one of the greatest gifts the

United States

MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value

health care.

BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

ENCOURAGING CONSUMERISM & PRIMARY CARE: FEDEX CORPORATION For distribution, contact info@catalyze.org Available for download at catalyze.org 6 The call center: The communications consultant also staffed a centralized call center to answer questions from employees and their families about the new plans. WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITAL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

LISA WOODS ON WALMART'S CENTER OF EXCELLENCE STRATEGY Lisa Woods on Walmart’s Center of Excellence strategy February 04, 2019. Suzanne Delbanco calls up Lisa Woods, Senior Director of Health Care Benefits at Walmart Stores, Inc., to discuss Walmart’s efforts to control costs and deliver high-value health care using a Center of Excellence approach. Suzanne and Lisa catch up about Walmart’s CoE strategy for spinal surgery, why Walmart ABOUT US - CATALYST FOR PAYMENT REFORM Who We Are We are a small nonprofit committed to big changes in the health care system. Catalyst for Payment Reform (CPR) is an independent, nonprofit corporation on a mission to help employers and other health care purchasers get better value for their health care dollar. CPR seeks to empower health care purchasers who want JOIN OUR VENDOR DIRECTORY Thank you for your interest in connecting with Catalyst for Payment Reform! Please fill out the form below so we can learn more about your

organization.

MAKING THE CASE FOR COST-EFFECTIVE NETWORKS: 32BJ HEALTH Find out how 32BJ Health Fund publicized hospital prices across New York City to achieve its goal of implementing a cost-effective network. In a world where hospital prices are not transparent and vary widely, health care purchasers need first to analyze price and quality variation and then build a benefit design and health care purchasing strategy tailored to their market. HOW SIDEWALKS CAN AFFECT YOUR HEALTH CARE COSTS Our neighborhoods, houses, schools, jobs, income, social lives, modes of transportation, and even our broader built and natural environments. Once these were not considered factors affecting health, but they are now the focal points of a fast-growing field referred to as social determinants of health, or SDOH. To begin to move beyond the

idea that

WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising.

TOOLS & SUPPORT

Take action with CPR's Tools Catalyst for Payment Reform has designed resources to help you design, implement, or evaluate a range of high-value health care purchasing strategies. STATE POLICIES ON PROVIDER MARKET POWER 2 INTRODUCTION In 2020, the exorbitant cost of health care in the United States remains shocking - - no longer for its novelty -- but for its unchecked inflation, and consequent REFERENCE-BASED PRICING 6 Reference pricing models first attracted CPR’s attention in 2011, when the California Public Employees’ Retirement System CalPERS launched its reference-based benefits pilot for SOUTH CAROLINA'S BIRTH OUTCOMES INITIATIVE South Carolina’s Birth Outcomes Initiative July 20, 2017. We all know that the U.S. health care system needs fixing, especially when it comes to cost and access, but many of us still hold on to the notion that the U.S. produces the best quality in the world. REFERENCE-BASED PRICING MARKETPLACE REPORT A comprehensive report for purchasers seeking to advance effective reference-based pricing models. HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc.

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. REFERENCE-BASED PRICING 6 Reference pricing models first attracted CPR’s attention in 2011, when the California Public Employees’ Retirement System CalPERS launched its reference-based benefits pilot for BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional HOW SIDEWALKS CAN AFFECT YOUR HEALTH CARE COSTS Our neighborhoods, houses, schools, jobs, income, social lives, modes of transportation, and even our broader built and natural environments. Once these were not considered factors affecting health, but they are now the focal points of a fast-growing field referred to as social determinants of health, or SDOH. To begin to move beyond the

idea that

WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising. LESSONS LEARNED AND BLUEPRINTS FOR SUCCESS Aggregated Purchasing of Health Care Services: Lessons Learned and Blueprints for Success Dozens of employer-led coalitions have attempted to aggregate their combined insured employees REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc.

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. REFERENCE-BASED PRICING 6 Reference pricing models first attracted CPR’s attention in 2011, when the California Public Employees’ Retirement System CalPERS launched its reference-based benefits pilot for BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional HOW SIDEWALKS CAN AFFECT YOUR HEALTH CARE COSTS Our neighborhoods, houses, schools, jobs, income, social lives, modes of transportation, and even our broader built and natural environments. Once these were not considered factors affecting health, but they are now the focal points of a fast-growing field referred to as social determinants of health, or SDOH. To begin to move beyond the

idea that

WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising. LESSONS LEARNED AND BLUEPRINTS FOR SUCCESS Aggregated Purchasing of Health Care Services: Lessons Learned and Blueprints for Success Dozens of employer-led coalitions have attempted to aggregate their combined insured employees REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising. WANT TO IMPROVE MATERNITY CARE? EMBRACE HEALTH EQUITY CPR is available to help other employer-purchasers embrace a health equity approach to keep mothers safe and healthy, and to improve the value of their maternity care spending. If you are an employer-purchaser looking for guidance on this topic, please reach out to us at connect@catalyze.org. Photo by Andre Adjahoe on Unsplash.

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health care system. Our diverse membership attracts both private and public 2020 REPORT CARD ON STATE PRICE TRANSPARENCY LAWS REPORT CARD ON STATE PRICE TRANSPARENCY LAWS May 2020 Roslyn Murray, MPP ï Lea Tessitore, MBA, MSB Andréa Caballero, MPA ï Suzanne Delbanco, PhD ï Amy Gu, JD ï Jaime King, JD, PhD MAKING THE CASE FOR COST-EFFECTIVE NETWORKS: 32BJ HEALTH This case study describes how a large health system in New York City objected to the 32BJ Health Fund’s efforts to implement a benefit design that had higher co-pays for higher-cost hospitals and lower co-pays for lower-cost hospitals. Instead of backing down, the Health Fund went to the public and to the media to achieve its goal of AGGREGATED HEALTH CARE PURCHASING: MODELS FOR SUCCESS Thursday, May 20 from 1pm-3pm EDT/ 10am-12pm PDT Frustrated by the continued erosion of health care affordability, some purchasers have taken matters into their own hands by pooling their volume of covered lives with other health care purchasers. There is a three decades-long history of purchasers banding together to aggregate their member

volume to achieve

REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR BUNDLED PAYMENT MARKETPLACE REPORT Download the free report to understand how bundled payment solutions - including health plans, Centers of Excellence vendors, and others - are striving to meet the needs of employer-purchasers. CPR summarizes key findings and recommendations from: CPR’s 12-month Advancing Effective Bundled Payment employer workgroup. DATA WAREHOUSE MARKETPLACE REPORT 110219 6 their wellness strategy, and thus, part of their data strategy. These efforts begin with recognizing the data as the purchaser’s asset and protecting its security beyond minimum industry-standards. AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc.

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. AGGREGATED PURCHASING OF HEALTH CARE SERVICES: LESSONS CPR's report is an examination of 30 years of employers' efforts at aggregated purchasing of health care services. REFERENCE-BASED PRICING 6 Reference pricing models first attracted CPR’s attention in 2011, when the California Public Employees’ Retirement System CalPERS launched its reference-based benefits pilot for BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising. REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR BUNDLED PAYMENT MARKETPLACE REPORT Download the free report to understand how bundled payment solutions - including health plans, Centers of Excellence vendors, and others - are striving to meet the needs of employer-purchasers. CPR summarizes key findings and recommendations from: CPR’s 12-month Advancing Effective Bundled Payment employer workgroup. AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc.

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. AGGREGATED PURCHASING OF HEALTH CARE SERVICES: LESSONS CPR's report is an examination of 30 years of employers' efforts at aggregated purchasing of health care services. REFERENCE-BASED PRICING 6 Reference pricing models first attracted CPR’s attention in 2011, when the California Public Employees’ Retirement System CalPERS launched its reference-based benefits pilot for BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising. REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR BUNDLED PAYMENT MARKETPLACE REPORT Download the free report to understand how bundled payment solutions - including health plans, Centers of Excellence vendors, and others - are striving to meet the needs of employer-purchasers. CPR summarizes key findings and recommendations from: CPR’s 12-month Advancing Effective Bundled Payment employer workgroup. AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

JOIN OUR VENDOR DIRECTORY Thank you for your interest in connecting with Catalyst for Payment Reform! Please fill out the form below so we can learn more about your

organization.

WANT TO IMPROVE MATERNITY CARE? EMBRACE HEALTH EQUITY CPR is available to help other employer-purchasers embrace a health equity approach to keep mothers safe and healthy, and to improve the value of their maternity care spending. If you are an employer-purchaser looking for guidance on this topic, please reach out to us at connect@catalyze.org. Photo by Andre Adjahoe on Unsplash.

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health care system. Our diverse membership attracts both private and public 2020 REPORT CARD ON STATE PRICE TRANSPARENCY LAWS MAY 2020 REPORT CARD ON STATE PRICE TRANSPARENCY LAWS May 2020 Roslyn Murray, MPP ï Lea Tessitore, MBA, MSB Andréa Caballero, MPA ï Suzanne Delbanco, PhD ï Amy Gu, JD ï Jaime King, JD, PhD REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR MAKING THE CASE FOR COST-EFFECTIVE NETWORKS: 32BJ HEALTH This case study describes how a large health system in New York City objected to the 32BJ Health Fund’s efforts to implement a benefit design that had higher co-pays for higher-cost hospitals and lower co-pays for lower-cost hospitals. Instead of backing down, the Health Fund went to the public and to the media to achieve its goal of AGGREGATED HEALTH CARE PURCHASING: MODELS FOR SUCCESS Thursday, May 20 from 1pm-3pm EDT/ 10am-12pm PDT Frustrated by the continued erosion of health care affordability, some purchasers have taken matters into their own hands by pooling their volume of covered lives with other health care purchasers. There is a three decades-long history of purchasers banding together to aggregate their member

volume to achieve

BUNDLED PAYMENT MARKETPLACE REPORT Download the free report to understand how bundled payment solutions - including health plans, Centers of Excellence vendors, and others - are striving to meet the needs of employer-purchasers. CPR summarizes key findings and recommendations from: CPR’s 12-month Advancing Effective Bundled Payment employer workgroup. DATA WAREHOUSE MARKETPLACE REPORT 110219 4 INTRODUCTION Employers and other health care purchasers, along with consumers, have reached an inflection point. Years of annual health care cost increases above the Consumer Price Index (CPI)1 have adversely impacted U.S. businesses. ACCESS THE TOOLKIT: BUILDING A HIGH VALUE MATERNITY NETWORK Toolkit: Building a High Value Maternity Network This Toolkit gives employers and other health care purchasers the resources and guidance needed to develop a network of high-quality, affordable maternity providers who are committed to patient-centered care and health

equity.

HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc.

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers AGGREGATED PURCHASING OF HEALTH CARE SERVICES: LESSONS CPR's report is an examination of 30 years of employers' efforts at aggregated purchasing of health care services. MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising. MAKING THE CASE FOR COST-EFFECTIVE NETWORKS: 32BJ HEALTH This case study describes how a large health system in New York City objected to the 32BJ Health Fund’s efforts to implement a benefit design that had higher co-pays for higher-cost hospitals and lower co-pays for lower-cost hospitals. Instead of backing down, the Health Fund went to the public and to the media to achieve its goal of WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITAL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

LISA WOODS ON WALMART'S CENTER OF EXCELLENCE STRATEGY Lisa Woods on Walmart’s Center of Excellence strategy February 04, 2019. Suzanne Delbanco calls up Lisa Woods, Senior Director of Health Care Benefits at Walmart Stores, Inc., to discuss Walmart’s efforts to control costs and deliver high-value health care using a Center of Excellence approach. Suzanne and Lisa catch up about Walmart’s CoE strategy for spinal surgery, why Walmart HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc.

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers AGGREGATED PURCHASING OF HEALTH CARE SERVICES: LESSONS CPR's report is an examination of 30 years of employers' efforts at aggregated purchasing of health care services. MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising. MAKING THE CASE FOR COST-EFFECTIVE NETWORKS: 32BJ HEALTH This case study describes how a large health system in New York City objected to the 32BJ Health Fund’s efforts to implement a benefit design that had higher co-pays for higher-cost hospitals and lower co-pays for lower-cost hospitals. Instead of backing down, the Health Fund went to the public and to the media to achieve its goal of WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITAL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

LISA WOODS ON WALMART'S CENTER OF EXCELLENCE STRATEGY Lisa Woods on Walmart’s Center of Excellence strategy February 04, 2019. Suzanne Delbanco calls up Lisa Woods, Senior Director of Health Care Benefits at Walmart Stores, Inc., to discuss Walmart’s efforts to control costs and deliver high-value health care using a Center of Excellence approach. Suzanne and Lisa catch up about Walmart’s CoE strategy for spinal surgery, why Walmart ABOUT US - CATALYST FOR PAYMENT REFORM Catalyst for Payment Reform (CPR) is an independent, nonprofit corporation on a mission to help employers and other health care purchasers get better value for their health care dollar. CPR seeks to empower health care purchasers who want to proactively improve the way the health care market functions. CPR is a member-based organization

that

JOIN OUR VENDOR DIRECTORY Thank you for your interest in connecting with Catalyst for Payment Reform! Please fill out the form below so we can learn more about your

organization.

TOOLS & SUPPORT

Take action with CPR's Tools. Catalyst for Payment Reform has designed resources to help you design, implement, or evaluate a range of high-value health care purchasing strategies. Tool Library Use our plug-and-play tools to support your strategy. Market Assessments Learn

about the

WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising. STAFF - CATALYST FOR PAYMENT REFORM Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract MAKING THE CASE FOR COST-EFFECTIVE NETWORKS: 32BJ HEALTH Find out how 32BJ Health Fund publicized hospital prices across New York City to achieve its goal of implementing a cost-effective network. In a world where hospital prices are not transparent and vary widely, health care purchasers need first to analyze price and quality variation and then build a benefit design and health care purchasing strategy tailored to their market. STATE POLICIES ON PROVIDER MARKET POWER 2 INTRODUCTION In 2020, the exorbitant cost of health care in the United States remains shocking - - no longer for its novelty -- but for its unchecked inflation, and consequent REFERENCE-BASED PRICING 6 Reference pricing models first attracted CPR’s attention in 2011, when the California Public Employees’ Retirement System CalPERS launched its reference-based benefits pilot for INTRO TO BENEFIT DESIGN Benefit designs are rules that structure health insurance plans and dictate how consumers can gain access to health care services and providers. In particular, they determine which services will be covered by the health plan, from which providers a consumer can seek care, and the cost-sharing amounts (e.g. deductible, co-payments,

co-insurance

REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc.

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers AGGREGATED PURCHASING OF HEALTH CARE SERVICES: LESSONS CPR's report is an examination of 30 years of employers' efforts at aggregated purchasing of health care services. MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising. MAKING THE CASE FOR COST-EFFECTIVE NETWORKS: 32BJ HEALTH This case study describes how a large health system in New York City objected to the 32BJ Health Fund’s efforts to implement a benefit design that had higher co-pays for higher-cost hospitals and lower co-pays for lower-cost hospitals. Instead of backing down, the Health Fund went to the public and to the media to achieve its goal of WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITAL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

LISA WOODS ON WALMART'S CENTER OF EXCELLENCE STRATEGY Lisa Woods on Walmart’s Center of Excellence strategy February 04, 2019. Suzanne Delbanco calls up Lisa Woods, Senior Director of Health Care Benefits at Walmart Stores, Inc., to discuss Walmart’s efforts to control costs and deliver high-value health care using a Center of Excellence approach. Suzanne and Lisa catch up about Walmart’s CoE strategy for spinal surgery, why Walmart HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc.

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers AGGREGATED PURCHASING OF HEALTH CARE SERVICES: LESSONS CPR's report is an examination of 30 years of employers' efforts at aggregated purchasing of health care services. MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising. MAKING THE CASE FOR COST-EFFECTIVE NETWORKS: 32BJ HEALTH This case study describes how a large health system in New York City objected to the 32BJ Health Fund’s efforts to implement a benefit design that had higher co-pays for higher-cost hospitals and lower co-pays for lower-cost hospitals. Instead of backing down, the Health Fund went to the public and to the media to achieve its goal of WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITAL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

LISA WOODS ON WALMART'S CENTER OF EXCELLENCE STRATEGY Lisa Woods on Walmart’s Center of Excellence strategy February 04, 2019. Suzanne Delbanco calls up Lisa Woods, Senior Director of Health Care Benefits at Walmart Stores, Inc., to discuss Walmart’s efforts to control costs and deliver high-value health care using a Center of Excellence approach. Suzanne and Lisa catch up about Walmart’s CoE strategy for spinal surgery, why Walmart ABOUT US - CATALYST FOR PAYMENT REFORM Catalyst for Payment Reform (CPR) is an independent, nonprofit corporation on a mission to help employers and other health care purchasers get better value for their health care dollar. CPR seeks to empower health care purchasers who want to proactively improve the way the health care market functions. CPR is a member-based organization

that

JOIN OUR VENDOR DIRECTORY Thank you for your interest in connecting with Catalyst for Payment Reform! Please fill out the form below so we can learn more about your

organization.

TOOLS & SUPPORT

Take action with CPR's Tools. Catalyst for Payment Reform has designed resources to help you design, implement, or evaluate a range of high-value health care purchasing strategies. Tool Library Use our plug-and-play tools to support your strategy. Market Assessments Learn

about the

WHAT ARE MENTAL HEALTH ISSUES REALLY COSTING US What are mental health issues really costing us? March 30, 2018. Did you know that the U.S. spends over $200 billion on mental health disorders, ranking it as one of the costliest areas of health care, even above heart conditions and trauma and injury? When you consider the prevalence of depression, stress, anxiety, and substance use disorders, this may not be surprising. STAFF - CATALYST FOR PAYMENT REFORM Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract MAKING THE CASE FOR COST-EFFECTIVE NETWORKS: 32BJ HEALTH Find out how 32BJ Health Fund publicized hospital prices across New York City to achieve its goal of implementing a cost-effective network. In a world where hospital prices are not transparent and vary widely, health care purchasers need first to analyze price and quality variation and then build a benefit design and health care purchasing strategy tailored to their market. STATE POLICIES ON PROVIDER MARKET POWER 2 INTRODUCTION In 2020, the exorbitant cost of health care in the United States remains shocking - - no longer for its novelty -- but for its unchecked inflation, and consequent REFERENCE-BASED PRICING 6 Reference pricing models first attracted CPR’s attention in 2011, when the California Public Employees’ Retirement System CalPERS launched its reference-based benefits pilot for INTRO TO BENEFIT DESIGN Benefit designs are rules that structure health insurance plans and dictate how consumers can gain access to health care services and providers. In particular, they determine which services will be covered by the health plan, from which providers a consumer can seek care, and the cost-sharing amounts (e.g. deductible, co-payments,

co-insurance

REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc. THE LATEST - CATALYST FOR PAYMENT REFORM The Latest. Updated weekly! CPR's freshest releases. Report. Aggregated Purchasing of Health Care Services: Lessons Learned and Blueprints for Success. Read. Podcast. Improving Maternity Care for Nashville’s Public Schools. Listen.

TOOLS & SUPPORT

Take action with CPR's Tools. Catalyst for Payment Reform has designed resources to help you design, implement, or evaluate a range of high-value health care purchasing strategies. Tool Library Use our plug-and-play tools to support your strategy. Market Assessments Learn

about the

STAFF - CATALYST FOR PAYMENT REFORM Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health care system. Our diverse membership attracts both private and public BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITAL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc. THE LATEST - CATALYST FOR PAYMENT REFORM The Latest. Updated weekly! CPR's freshest releases. Report. Aggregated Purchasing of Health Care Services: Lessons Learned and Blueprints for Success. Read. Podcast. Improving Maternity Care for Nashville’s Public Schools. Listen.

TOOLS & SUPPORT

Take action with CPR's Tools. Catalyst for Payment Reform has designed resources to help you design, implement, or evaluate a range of high-value health care purchasing strategies. Tool Library Use our plug-and-play tools to support your strategy. Market Assessments Learn

about the

STAFF - CATALYST FOR PAYMENT REFORM Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health care system. Our diverse membership attracts both private and public BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITAL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

THE LATEST - CATALYST FOR PAYMENT REFORM The Latest. Updated weekly! CPR's freshest releases. Report. Aggregated Purchasing of Health Care Services: Lessons Learned and Blueprints for Success. Read. Podcast. Improving Maternity Care for Nashville’s Public Schools. Listen. ABOUT US - CATALYST FOR PAYMENT REFORM Catalyst for Payment Reform (CPR) is an independent, nonprofit corporation on a mission to help employers and other health care purchasers get better value for their health care dollar. CPR seeks to empower health care purchasers who want to proactively improve the way the health care market functions. CPR is a member-based organization

that

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. STAFF - CATALYST FOR PAYMENT REFORM Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract

MARKET ASSESSMENTS

Catalyst for Payment can conduct a Market Assessment in your region to help you understand the features of your local market, determine the dynamics of key stakeholders, and assess how these characteristics may impact your health care strategy, including payment and delivery reforms and related benefit and provider network designs. MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their NATIONAL SCORECARD ON PAYMENT REFORM 2.0 Introducing the Lookback Edition to the National Scorecards on Payment Reform 2.0. The National Scorecard (Lookback Edition) includes data from multiple years (2012, 2013, 2016, & 2017), using the 2.0 methodology to highlight year over year trends in commercial payment reform and quality and affordability indicators from the same time

period.

PURCHASER GUIDE: METHODOLOGIES FOR EVALUATING VALUE Not all evaluations are created equal. In response to growing health care costs and uneven quality of care, employers and other health care purchasers are implementing a variety of value-oriented strategies to improve health care quality and make it affordable. REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR LISA WOODS ON WALMART'S CENTER OF EXCELLENCE STRATEGY Lisa Woods on Walmart’s Center of Excellence strategy February 04, 2019. Suzanne Delbanco calls up Lisa Woods, Senior Director of Health Care Benefits at Walmart Stores, Inc., to discuss Walmart’s efforts to control costs and deliver high-value health care using a Center of Excellence approach. Suzanne and Lisa catch up about Walmart’s CoE strategy for spinal surgery, why Walmart HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc. THE LATEST - CATALYST FOR PAYMENT REFORM The Latest. Updated weekly! CPR's freshest releases. Report. Aggregated Purchasing of Health Care Services: Lessons Learned and Blueprints for Success. Read. Podcast. Improving Maternity Care for Nashville’s Public Schools. Listen.

TOOLS & SUPPORT

Take action with CPR's Tools. Catalyst for Payment Reform has designed resources to help you design, implement, or evaluate a range of high-value health care purchasing strategies. Tool Library Use our plug-and-play tools to support your strategy. Market Assessments Learn

about the

STAFF - CATALYST FOR PAYMENT REFORM Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health care system. Our diverse membership attracts both private and public BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITAL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc. THE LATEST - CATALYST FOR PAYMENT REFORM The Latest. Updated weekly! CPR's freshest releases. Report. Aggregated Purchasing of Health Care Services: Lessons Learned and Blueprints for Success. Read. Podcast. Improving Maternity Care for Nashville’s Public Schools. Listen.

TOOLS & SUPPORT

Take action with CPR's Tools. Catalyst for Payment Reform has designed resources to help you design, implement, or evaluate a range of high-value health care purchasing strategies. Tool Library Use our plug-and-play tools to support your strategy. Market Assessments Learn

about the

STAFF - CATALYST FOR PAYMENT REFORM Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health care system. Our diverse membership attracts both private and public BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITAL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

THE LATEST - CATALYST FOR PAYMENT REFORM The Latest. Updated weekly! CPR's freshest releases. Report. Aggregated Purchasing of Health Care Services: Lessons Learned and Blueprints for Success. Read. Podcast. Improving Maternity Care for Nashville’s Public Schools. Listen. ABOUT US - CATALYST FOR PAYMENT REFORM Catalyst for Payment Reform (CPR) is an independent, nonprofit corporation on a mission to help employers and other health care purchasers get better value for their health care dollar. CPR seeks to empower health care purchasers who want to proactively improve the way the health care market functions. CPR is a member-based organization

that

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. STAFF - CATALYST FOR PAYMENT REFORM Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract

MARKET ASSESSMENTS

Catalyst for Payment can conduct a Market Assessment in your region to help you understand the features of your local market, determine the dynamics of key stakeholders, and assess how these characteristics may impact your health care strategy, including payment and delivery reforms and related benefit and provider network designs. MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their NATIONAL SCORECARD ON PAYMENT REFORM 2.0 Introducing the Lookback Edition to the National Scorecards on Payment Reform 2.0. The National Scorecard (Lookback Edition) includes data from multiple years (2012, 2013, 2016, & 2017), using the 2.0 methodology to highlight year over year trends in commercial payment reform and quality and affordability indicators from the same time

period.

PURCHASER GUIDE: METHODOLOGIES FOR EVALUATING VALUE Not all evaluations are created equal. In response to growing health care costs and uneven quality of care, employers and other health care purchasers are implementing a variety of value-oriented strategies to improve health care quality and make it affordable. REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR LISA WOODS ON WALMART'S CENTER OF EXCELLENCE STRATEGY Lisa Woods on Walmart’s Center of Excellence strategy February 04, 2019. Suzanne Delbanco calls up Lisa Woods, Senior Director of Health Care Benefits at Walmart Stores, Inc., to discuss Walmart’s efforts to control costs and deliver high-value health care using a Center of Excellence approach. Suzanne and Lisa catch up about Walmart’s CoE strategy for spinal surgery, why Walmart HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc. THE LATEST - CATALYST FOR PAYMENT REFORM The Latest. Updated weekly! CPR's freshest releases. Report. Aggregated Purchasing of Health Care Services: Lessons Learned and Blueprints for Success. Read. Podcast. Improving Maternity Care for Nashville’s Public Schools. Listen.

TOOLS & SUPPORT

Take action with CPR's Tools. Catalyst for Payment Reform has designed resources to help you design, implement, or evaluate a range of high-value health care purchasing strategies. Tool Library Use our plug-and-play tools to support your strategy. Market Assessments Learn

about the

STAFF - CATALYST FOR PAYMENT REFORM Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health care system. Our diverse membership attracts both private and public BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITAL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS CPR MEMBERS. "As an individual health care purchaser, no matter how big you are, you need more leverage in the health care system to get better value for your health care dollar. Put your hands on the steering wheel." Sally Welborn, formerly of Walmart Inc. THE LATEST - CATALYST FOR PAYMENT REFORM The Latest. Updated weekly! CPR's freshest releases. Report. Aggregated Purchasing of Health Care Services: Lessons Learned and Blueprints for Success. Read. Podcast. Improving Maternity Care for Nashville’s Public Schools. Listen.

TOOLS & SUPPORT

Take action with CPR's Tools. Catalyst for Payment Reform has designed resources to help you design, implement, or evaluate a range of high-value health care purchasing strategies. Tool Library Use our plug-and-play tools to support your strategy. Market Assessments Learn

about the

STAFF - CATALYST FOR PAYMENT REFORM Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health care system. Our diverse membership attracts both private and public BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITAL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

THE LATEST - CATALYST FOR PAYMENT REFORM The Latest. Updated weekly! CPR's freshest releases. Report. Aggregated Purchasing of Health Care Services: Lessons Learned and Blueprints for Success. Read. Podcast. Improving Maternity Care for Nashville’s Public Schools. Listen. ABOUT US - CATALYST FOR PAYMENT REFORM Catalyst for Payment Reform (CPR) is an independent, nonprofit corporation on a mission to help employers and other health care purchasers get better value for their health care dollar. CPR seeks to empower health care purchasers who want to proactively improve the way the health care market functions. CPR is a member-based organization

that

RESOURCE LIBRARY

Resource Library. Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or inquiring about an enterprise subscription. STAFF - CATALYST FOR PAYMENT REFORM Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract

MARKET ASSESSMENTS

Catalyst for Payment can conduct a Market Assessment in your region to help you understand the features of your local market, determine the dynamics of key stakeholders, and assess how these characteristics may impact your health care strategy, including payment and delivery reforms and related benefit and provider network designs. MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Match Made: An Employer Approach to Direct Contracting. Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value health care. CPR’s Fall 2019 Webinar Series: Innovative Employers and Their NATIONAL SCORECARD ON PAYMENT REFORM 2.0 Introducing the Lookback Edition to the National Scorecards on Payment Reform 2.0. The National Scorecard (Lookback Edition) includes data from multiple years (2012, 2013, 2016, & 2017), using the 2.0 methodology to highlight year over year trends in commercial payment reform and quality and affordability indicators from the same time

period.

PURCHASER GUIDE: METHODOLOGIES FOR EVALUATING VALUE Not all evaluations are created equal. In response to growing health care costs and uneven quality of care, employers and other health care purchasers are implementing a variety of value-oriented strategies to improve health care quality and make it affordable. REFERENCE-BASED PRICING MARKETPLACE REPORT Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball. Last year, CPR set out on a study: To determine how and why reference-based pricing (RBP) can work. To understand the risks and trade-offs it poses. To explore strategies for merging RBP with more traditional value-oriented health care strategies. To this end, CPR LISA WOODS ON WALMART'S CENTER OF EXCELLENCE STRATEGY Lisa Woods on Walmart’s Center of Excellence strategy February 04, 2019. Suzanne Delbanco calls up Lisa Woods, Senior Director of Health Care Benefits at Walmart Stores, Inc., to discuss Walmart’s efforts to control costs and deliver high-value health care using a Center of Excellence approach. Suzanne and Lisa catch up about Walmart’s CoE strategy for spinal surgery, why Walmart HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS WELCOME TO CPR! Find out how you can achieve higher-value health care. If you are an employer or other purchaser of health care, you can be a

catalyst.

THE LATEST - CATALYST FOR PAYMENT REFORM Take a look at our most recent tools, blog, and research! Updated

weekly.

TOOLS & SUPPORT

Take action with CPR's Tools Catalyst for Payment Reform has designed resources to help you design, implement, or evaluate a range of high-value health care purchasing strategies. STAFF - CATALYST FOR PAYMENT REFORMADVANCED CATALYST SYSTEMCATALYST SYSTEM EFFICIENCY CODECATALYST SYSTEMS INCCATALYST SYSTEMS LLC Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health

care system.

STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value

health care.

WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITALWHAT IS SINGLE PAYER SYSTEMMARYLAND ALL PAYER SYSTEM EXPLAINEDALL PAYER CLAIMS DATABASE STATESALL PAYER STATESALL PAYER CLAIMS DATAALL PAYER MODEL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

HOME - CATALYST FOR PAYMENT REFORMTHE LATESTRESOURCE LIBRARYUPCOMING EVENTSWORK WITH USEDUCATIONJOIN YOUR PEERS WELCOME TO CPR! Find out how you can achieve higher-value health care. If you are an employer or other purchaser of health care, you can be a

catalyst.

THE LATEST - CATALYST FOR PAYMENT REFORM Take a look at our most recent tools, blog, and research! Updated

weekly.

TOOLS & SUPPORT

Take action with CPR's Tools Catalyst for Payment Reform has designed resources to help you design, implement, or evaluate a range of high-value health care purchasing strategies. STAFF - CATALYST FOR PAYMENT REFORMADVANCED CATALYST SYSTEMCATALYST SYSTEM EFFICIENCY CODECATALYST SYSTEMS INCCATALYST SYSTEMS LLC Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract BUNDLED PAYMENT OPTIONS IN THE 2020 MARKETPLACE: A GUIDE Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers A comprehensive report for purchasers

CPR MEMBERS

CPR attributes its momentum to the collective strength of our member organizations. The CPR member group is comprised of 30+ progressive employers and other health care purchasers who are committed to working together to push for a higher-quality, more affordable health

care system.

STATE POLICIES ON PROVIDER MARKET POWER 6 practitioners, physician assistants, midwives, etc.) from providing certain primary care services. Telehealth laws may also promote competition, securing additional MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value

health care.

WHAT IS MARYLAND’S ALL-PAYER, GLOBAL BUDGET HOSPITALWHAT IS SINGLE PAYER SYSTEMMARYLAND ALL PAYER SYSTEM EXPLAINEDALL PAYER CLAIMS DATABASE STATESALL PAYER STATESALL PAYER CLAIMS DATAALL PAYER MODEL What is Maryland’s All-Payer, Global Budget Hospital System and How Can We Learn From it? July 31, 2018. Did you know the state of Maryland is home to the nation’s only all-payer, global budget hospital system?? Despite the fact that over the years, other states

have tried to

AN ANALYSIS OF POPULAR LEGAL ARGUMENTS AGAINST PRICE 2 | 2015 Report Card on State Price Transparency Laws Most-Favored Nation (“MFN”) Clauses In an insurer-provider contract, a most-favored nation clause promises that the provider will not give an

equal

THE LATEST - CATALYST FOR PAYMENT REFORM Take a look at our most recent tools, blog, and research! Updated

weekly.

ABOUT US - CATALYST FOR PAYMENT REFORM Who We Are We are a small nonprofit committed to big changes in the health care system. Catalyst for Payment Reform (CPR) is an independent, nonprofit corporation on a mission to help employers and other health care purchasers get better value for their health care dollar. CPR seeks to empower health care purchasers who want STAFF - CATALYST FOR PAYMENT REFORM Andréa E. Caballero is the program director for Catalyst for Payment Reform and has 20+ years of experience in the health care industry. Andréa has a broad portfolio and specializes in measuring payment reform at the state and national level, identifying appropriate payment reforms based on assessments of local markets, and developing request for information (RFI) and model contract

RESOURCE LIBRARY

Employer-purchasers have FREE access to CPR’s Resource Library by creating an account or logging in. For all others, support CPR’s mission by buying individual resources or

MARKET ASSESSMENTS

The dynamics of your health care market matter. Health care markets have an incredibly important role in shaping how much we pay for health care and how well your population fares. NATIONAL SCORECARD ON PAYMENT REFORM 2.0 Introducing the Lookback Edition to the National Scorecards on Payment Reform 2.0. The National Scorecard (Lookback Edition) includes data from multiple years (2012, 2013, 2016, & 2017), using the 2.0 methodology to highlight year over year trends in commercial payment reform and quality and affordability indicators from the same time

period.

MATCH MADE: AN EMPLOYER APPROACH TO DIRECT CONTRACTING Across the country, employers and other health care purchasers are implementing cutting-edge benefit programs and health care purchasing strategies, like employer direct contracting, to achieve higher value

health care.

PURCHASER GUIDE: METHODOLOGIES FOR EVALUATING VALUE Not all evaluations are created equal. In response to growing health care costs and uneven quality of care, employers and other health care purchasers are implementing a variety of value-oriented strategies to improve health care quality and make it affordable. REFERENCE-BASED PRICING MARKETPLACE REPORT A comprehensive report for purchasers seeking to advance effective reference-based pricing models. LISA WOODS ON WALMART'S CENTER OF EXCELLENCE STRATEGY Lisa Woods on Walmart’s Center of Excellence strategy February 04, 2019. Suzanne Delbanco calls up Lisa Woods, Senior Director of Health Care Benefits at Walmart Stores, Inc., to discuss Walmart’s efforts to control costs and deliver high-value health care using a Center of Excellence approach. Suzanne and Lisa catch up about Walmart’s CoE strategy for spinal surgery, why Walmart

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